Post thrombotic syndrome and its prevention by early clearance of thrombus load from the DVT patients is going to attract the attention of doctors as it is promising to clear the vein load of thrombus. Catheter directed thrombolysis in combination with the percutaneous mechanical thrombectomy seem to be future mode of management  of the ilio-femoral deep vein thrombosis. However the cost of such treatment may not make it best choice of treatment for majority of the people who are living in India who can not afford such expensive therapies. The appropriate cost for such therapies will not be less than Rs 1,50,000/= . We donot know if the 3rd party insurance companies will be approving such expensive therapies for the ilio-femoral DVT!